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GATEWAY PEDIATRICS LTD NPI 1639251978


NPI Information

NPI: 1639251978
Provider Name: GATEWAY PEDIATRICS, LTD
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 26D0696027

Address:
12277 DE PAUL DR
SUITE 506
BRIDGETON, MO
ZIP 63044
Phone: (314) 770-2300
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GATEWAY PEDIATRICS, LTD is a pediatrics in Bridgeton, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GATEWAY PEDIATRICS, LTD NPI is 1639251978. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12277 DE PAUL DR
SUITE 506
BRIDGETON, MO
ZIP 63044-516
Phone: (314) 770-2300
Fax: (314) 770-1843

The provider's authorized official is William J Ross .
The authorized official title is President and has the following contact phone number (314) 770-2300.

The CLIA number assigned to this NPI record is 26D0696027 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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